Individual provider · Type 1 NPI
Deanna Othman
Nurse Practitioner · Ladera Ranch, CA
Practice location
12 Molly Loop
Ladera Ranch, CA 92694-0803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95037162 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1659246783
Deanna Othman's National Provider Identifier is 1659246783, issued on Oct 8, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ladera Ranch, CA. The record was last updated on Oct 8, 2025.